Individual provider Active NPI

Jonathan W Burress, DO

  • Cardiovascular Disease Physician
  • Bristol, TN
National Provider Identifier
1760415582
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1781 Issued in TN
Practice address
1 Medical Park Blvd
Suite 458W
Bristol, TN 37620-0000
Phone
(423) 230-6900
Fax
(423) 844-4987
NPI assigned
Jul 7, 2006
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1781 TN Primary

Addresses

Primary practice location

1 Medical Park Blvd
Suite 458W
Bristol, TN 37620-0000

Mailing address

105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060828000540 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5092719377 Reassigns benefits to 2 organizations
I20070929000104 VA Practitioner - Cardiovascular Disease (Cardiology) 5092719377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
West Virginia University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Cardiology ServicesGroup PAC ID 5799970281, 137 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (423) 230-5000

1410 Tusculum Blvd
Suite 1500
Greeneville, TN 37745-5810
Phone (423) 638-2270

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1100

16000 Johnston Memorial Dr
Suite 212a
Abingdon, VA 24211-7664
Phone (276) 258-3740

1901 S Shady St
Suite 1
Mountain City, TN 37683-2021
Phone (423) 727-6674

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000

2428 Knob Creek Rd
Suite 201
Johnson City, TN 37604-2396
Phone (423) 282-5054

271 Medical Park Blvd
Bristol, TN 37620-7455
Phone (423) 274-8600

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1781TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Sep 3, 2019 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Sep 3, 2019 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Sep 3, 2019 Accepting new patients
East Tennessee Hematology/Oncology Assoc P.C. Past Accepting new patients
Wellmont Physician Services Inc Cardiovascular Disease Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 458W
Bristol, TN 37620
Phone (423) 230-6900

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200

127 Health Care Dr
Ste 3
Pennington Gap, VA 24277
Phone (276) 299-5000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1760415582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W STONE DR",
            "address_2": "SUITE 6A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603365",
            "telephone_number": "423-408-7220",
            "fax_number": "423-408-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "address_2": "SUITE 458W",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376200000",
            "telephone_number": "423-230-6900",
            "fax_number": "423-844-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRESS",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "1781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.